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General NPI Number Information
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NPI Number | 1356650196
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Entity Type | Individual
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Provider Name | CHERYL MANEY APN
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Gender | Female
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Dates
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Enumeration Date | 09/28/2010
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Last Update Date | 10/24/2017
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Provider Practice Location Address
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Address Line | 8405 W ALAMEDA AVE
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City | LAKEWOOD
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State | CO
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Zip | 80226-2908
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Country | US
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Telephone | 720-974-5400
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Fax | 720-974-4992
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Provider Business Mailing Address
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Address Line | 8950 E LOWRY BLVD INNOVAGE-ATTN: GAYLE WASHINGTON
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City | DENVER
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State | CO
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Zip | 80230
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Country | US
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Telephone | 303-912-7193
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 546701
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.0990577-NP
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License Number State | CO
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